Individual
WILLIAM J DOWNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
982 KOEHLINGER DR, NEW HAVEN, IN 46774-1712
(260) 749-1940
(260) 749-2791
Mailing address
982 KOEHLINGER DR, NEW HAVEN, IN 46774-1712
(260) 749-1940
(260) 749-2791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011611
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12011611A
IN DENTAL LICENSE
IN
Enumeration date
06/26/2011
Last updated
07/21/2022
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